Medicare Facts for Carol A. Koch, CRNA


National Provider Identifier [NPI]: 1215940655
Last Name Of The Provider KOCH
First Name Of The Provider CAROL
Middle Initial Of The Provider A
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2333 BIDDLE ST
Street Address 2 Of The Provider
City Of The Provider WYANDOTTE
Zip Code Of The Provider 481924668
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 98
Number Of Medicare Beneficiaries 96
Total Submitted Charge Amount 70200
Total Medicare Allowed Amount 13572.38
Total Medicare Payment Amount 10640.71
Total Medicare Standardized Payment Amount 10073.57
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 98
Number Of Medicare Beneficiaries With Medical Services 96
Total Medical Submitted Charge Amount 70200
Total Medical Medicare Allowed Amount 13572.38
Total Medical Medicare Payment Amount 10640.71
Total Medical Medicare Standardized Payment Amount 10073.57
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 35
Number Of Beneficiaries Age 75 to 84 25
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 63
Number Of Male Beneficiaries 33
Number Of Non Hispanic White Beneficiaries 79
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 79
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 15
Percent Of With Cancer 19
Percent Of With Heart Failure 35
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 34
Percent Of With Depression 34
Percent Of With Diabetes 63
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 60
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.0057

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